17 - OSC Form A2.doc
DOC document 85 KB Posted
- Solicitation number
- 2120656
- Issued by
- Jefferson County, New York
About this file
This document is a New York State Consultant Services Contractor's Planned Employment Form (Form A2), which appears to be a template for reporting employment details for a state contract. The form contains sections for capturing contract start and end dates, employment categories, number of employees, hours worked, and associated payable amounts, but in this instance, all numeric fields are filled with zeros, suggesting it is an unused or sample document.
The form provides a structured template for state contractors to document their planned workforce deployment, with columns for tracking employment categories, employee counts, work hours, and contract payment details. While the specific contract, agency, and contractor information are not completed in this example, the form is designed to enable comprehensive reporting of consultancy workforce planning across New York State government agencies, allowing for precise tracking of contract labor resources and associated financial commitments.
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Text version
AC 3271-S (Effective 4/12)
FORM A
New York State Consultant Services Contractor’s Planned Employment
From Contract Start Date Through the End of the Contract Term
State Agency Name:
| State Agency Department ID: |
| Agency Business Unit: |
| Contractor Name: |
| Contract Number: |
| Contract Start Date: / / |
| Contract End Date: / / |
| Employment Category |
| Number of Employees |
| Number of Hours to be Worked |
| Amount Payable Under the Contract |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| 0.00 |
| 0.00 |
| $0.00 |
| Total this Page |
| 0.00 |
| 0.00 |
| $ 0.00 |
| Grand Total |
Name of person who prepared this report:
| Title: |
| Phone #: |
Preparer’s Signature: ________________________________
Date Prepared: / /
(Use additional pages, if necessary)
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